Kathlene Chun Miyauchi, FNP - Medicare Nurse Practitioner in San Jose, CA

Kathlene Chun Miyauchi, FNP is a medicare enrolled "Nurse Practitioner - Family" in San Jose, California. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sutter Bay Medical Foundation and her current practice location is 3131 Alum Rock Ave, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (408) 729-7600.

Kathlene Chun Miyauchi is licensed to practice in California (license number 20290) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790075653.

Contact Information

Kathlene Chun Miyauchi, FNP
3131 Alum Rock Ave,
San Jose, CA 95127-2902
(408) 729-7600
Not Available

Map and Direction




Provider's Profile

Full NameKathlene Chun Miyauchi
GenderFemale
SpecialityNurse Practitioner
Experience15 Years
Location3131 Alum Rock Ave, San Jose, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kathlene Chun Miyauchi graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1790075653
  • Provider Enumeration Date: 04/12/2011
  • Last Update Date: 04/12/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 9830490655
  • Enrollment ID: I20151222000066

Medical Identifiers

Medical identifiers for Kathlene Chun Miyauchi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790075653NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 20290 (California)Primary
363LF0000XNurse Practitioner - Family 336147 (New York)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sutter Bay Medical Foundation42845387782995

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kathlene Chun Miyauchi allows following entities to bill medicare on her behalf.
Entity NameSutter Bay Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013950807
PECOS PAC ID: 4284538778
Enrollment ID: O20031125000909

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathlene Chun Miyauchi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kathlene Chun Miyauchi, FNP
3131 Alum Rock Ave,
San Jose, CA 95127-2902

Ph: () -
Kathlene Chun Miyauchi, FNP
3131 Alum Rock Ave,
San Jose, CA 95127-2902

Ph: (408) 729-7600

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.